Individual provider Active NPI

Ayal Kaynan, M.D.

  • Urology Physician
  • Morristown, NJ
National Provider Identifier
1023095122
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MA72413 Issued in NJ
Practice address
261 James St
Suite 3a
Morristown, NJ 07960-6392
Phone
(973) 206-8282
Fax
(973) 599-1695
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MA72413 NJ Primary

Addresses

Primary practice location

261 James St
Suite 3a
Morristown, NJ 07960-6392

Mailing address

PO Box 912
Whippany, NJ 07981-0912
Phone (973) 206-8282

Other identifiers 5

IdentifierTypeStateIssuer
340019035OtherNJRAILROAD MEDICARE ID
P2498259OtherNJOXFORD ID
J20612OtherNJHEALTHNET ID
2604861OtherNJAETNA ID
2137084OtherNJUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060522000092 NJ Practitioner - Urology 3779594122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Duke University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA72413NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Urology LLC Urology CurrentSince Aug 1, 2008 Accepting new patients

Locations

261 James St
Ste 3A
Morristown, NJ 07960
Phone (973) 206-8282

261 James St
Ste 1A
Morristown, NJ 07960
Phone (973) 539-0333

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

16 Eden Ln
Whippany, NJ 07981
Phone (973) 206-8282

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35130_gardenstateurology

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1023095122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079810912",
            "telephone_number": "973-206-8282",
            "fax_number": "973-599-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 JAMES ST",
            "address_2": "SUITE 3A",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606392",
            "telephone_number": "973-206-8282",
            "fax_number": "973-599-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYNAN",
        "first_name": "AYAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA72413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "340019035",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P2498259",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID",
            "identifier": "J20612",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "2604861",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2137084",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.